5498-SA : HSA, Archer MSA, or Medicare Advantage MSA Information

FDX

#	Id	Type	Description
1	trusteeNameAddress	NameAddressPhone	Trustee's name, address, and phone
2	trusteeTin	string	TRUSTEE'S TIN
3	participantTin	string	PARTICIPANT'S TIN
4	participantNameAddress	NameAddress	Participant's name and address
5	accountNumber	string	Account number
6	msaContributions	number (double)	Box 1, Employee or self-employed person's Archer MSA contributions made in current and following years for current year
7	totalContributions	number (double)	Box 2, Total contributions made in current year
8	totalPostYearEnd	number (double)	Box 3, Total HSA or Archer MSA contributions made in following year for current year
9	rolloverContributions	number (double)	Box 4, Rollover contributions
10	fairMarketValue	number (double)	Box 5, Fair market value of HSA, Archer MSA, or Medicare Advantage (MA) MSA
11	hsa	boolean	Box 6a, HSA
12	archer	boolean	Box 6b, Archer MSA
13	maMsa	boolean	Box 6c, Medicare Advantage (MA) MSA

The TXF standard does not support this form.